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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G74606/19/2017FORM
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Survey date 042017 refers to the specific date in April 2017 that the survey was conducted.
Any individual or organization that was included in the survey sample for that date is required to file.
The survey for that date can be filled out online or through a paper form, following the instructions provided by the survey issuer.
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